Permits Request
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* = required      
JOB :      
Job Address : *  
City * State * ZIP CODE : *  
Home Owner Name : *  
Phone : *  
SQ Feet of House : *  
Unit Type : *  
       
CONTRACTOR :      
Contractor's Name : *  
Contact : *  
Phone : *  
Email : *  
License Number : *  
       
MECHANICAL :  
Work : *  
Equipment :
 
       
A/C Tons : *   New / Replace? : *
A/C Location : *  
Brand & Model Number : *  
 
       
Furnace BTU's (,000) : *   New / Replace? : *
Furnace Location : *  
Brand & Model Number : *  
   
  DUCTS:
Supplies : *   Returns : *
       
ELECTRICAL :  
Electrical Service Change? : *   Present AMPS : *
Light : *   Service Upgrade : *
Outlet : *   Switch : *
   
PLUMBING :  
Gas Extension (feet) :   
   
ABOUT SERVICE:  
Work Description : 
       
Start Date : *  
Needed By : *  


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Job Site Plot Plan

Please download, print, complete this form and send us back via fax,
phone-photo, email or post mail.
  (888) 813-3885
  (714) 723-1991 (Text / Photo)
  BGreenRaters@gmail.com
  9160 Via Balboa Circle
Buena Park, CA 90620